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Questions?

Contact Reliance Standard

1-800-351-7500

www.reliancestandard.com

Group ID: Holman Enterprises

11

UNDERSTANDING

YOUR

WELFARE

BENEFITS

Employee Basic Life and AD&D

(Full-time Management only)

Benefit Reduction

Contribution

Amount of Benefit

When Benefits Begin

Age

Cost Per $100 of Covered Payroll

<25

0.050

25-29

0.080

30-34

0.140

35-39

0.220

40-44

0.380

45-49

0.500

50-54

0.710

55-59

0.920

60-64

0.710

65-69

0.480

70+

0.350

Duration of Benefits

Amount of Benefit

When Benefits Begin

Maximum Benefit Period

Rates

(shown monthly)

Age

Rate per $10 Benefit

<25

0.410

25-29

0.450

30-34

0.460

35-39

0.410

40-44

0.420

45-49

0.510

50-54

0.710

55-59

0.830

60-64

0.920

65-69

1.150

70+

1.510

Employee

Spouse

Limitations

Rates

(shown monthly)

Age

Monthly Employee and Spouse Rate

Per $1,000

<25

0.107

25-29

0.075

30-34

0.081

35-39

0.113

40-44

0.185

45-49

0.309

50-54

0.501

55-59

0.849

60-64

1.047

65-69

1.577

70+

3.064

Eligible Child(ren)

Benefit in increments of $2,500 to a $10,000 maximum.

Children covered to age 20 (or 26 if full time student)

Child Life Rate: $0.41 per $2,500

Basic Life & AD&D- Reliance Standard

100% Employer Paid

Reduce to 65% at age 65; 40% at age 70

Voluntary Long Term Disability (LTD) - Reliance Standard

$25,000

60% of covered monthly earnings to a maximum of $5,000 per month

181st day of disability

Increments of $10,000 up to a $500,000 maximum. Guaranteed Issue of $70,000 is available at intial enrollment only.

Amounts requested over the Guaranteed Issue are subject to Evidence of Insurability.

Increments of $10,000 up to a $500,000 maximum. Guaranteed Issue of $10,000 is available at intial enrollment only.

Amounts requested over the Guaranteed Issue are subject to Evidence of Insurability.

An employee can elect life insurance for spouse without electing coverage for self.

The total employee and spouse life election cannot exceed $500,000.

Voluntary Short Term Disability (STD) - Reliance Standard

60% of covered weekly earning up to a maximum of $1,000 per week

On the 15th day of disability due to accident or illness.

26 Weeks

To Social Security Normal Retirement Age if you continue to meet the definition of disabled.

Voluntary Life Coverage - Reliance Standard

Rates

(shown monthly)

Note: With the exception of Basic Life and AD&D, these voluntary benefits are now offered to full-time

non-management employees.